Certification of School Attendance - REPS (VA Form 21P-8926)

Forms and Documents

Document Name	Status
Form 21P-8926 Certification of School Attendance - REPS (21-8926) Form	Modified
2900-0394 30-Day FRN.pdf Supplementary Document	2017-12-07
2900-0394 60-Day FRN.pdf Supplementary Document	2017-10-03
2900-0394 Supporting Statement.docx Supporting Statement A	2017-12-07

IC Document Collections

IC ID	Document Title	Status
28608	Certification of School Attendance - REPS (21-8926) Form	Modified

ICR Details

OMB Control No: 2900-0394	ICR Reference No: 201708-2900-013
Status: Active	Previous ICR Reference No: 201312-2900-017
Agency/Subagency: VA	Agency Tracking No: VBA-P&F-YA
Title: Certification of School Attendance - REPS (VA Form 21P-8926)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/05/2018
	Date Received in OIRA: 12/27/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	36 Months From Approved
Responses	1,200	0	0
Time Burden (Hours)	300	0	0
Cost Burden (Dollars)	7,158	0	0

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Abstract: Restored Entitlement Program for Survivors (REPS) benefits are payable to certain surviving spouses and children of veterans who died in service prior to August 13, 1981 or who died as a result of a service-connected disability incurred or aggravated prior to August 13, 1981. Child beneficiaries over age 18 and under age 23 must be enrolled full-time in an approved post-secondary school. VBA uses VA Form 21-8926 to verify that a beneficiary who is receiving REPS benefits based on schoolchild status is enrolled full-time in an approved school and is otherwise eligible for continued benefits. VBA has used the information collected to make such benefit eligibility determinations and ensure REPS payments are issued properly.

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Authorizing Statute(s): US Code: 38 USC 5101 Name of Law: Claims and forms
   PL: Pub.L. 97 - 377 156 Name of Law: Further Continuing Appropriations Act, 1983
   US Code: 42 USC 402 Name of Law: Old-age and survivors insurance benefit
   EO: EO 12436 Name/Subject of EO: ayment of Certain Benefits to Survivors of Persons Who Died In Or As A Result of Military Service
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 45112	09/27/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 57817	12/07/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Certification of School Attendance - REPS (21-8926)	21P-8926	Certification of School Attendance - REPS

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,200	0	0	0	0	1,200
Annual Time Burden (Hours)	300	0	0	0	0	300
Annual Cost Burden (Dollars)	7,158	0	0	7,158	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $8,647

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/27/2017

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